Enterprise Denial Analyst

Job Summary

A company is looking for an Enterprise Denial Analyst to manage technical denial claims and optimize financial outcomes in the revenue cycle.

Key Responsibilities

• Review technical denial claims and submit reconsiderations or appeals
• Conduct root cause analysis of denied payments and maintain third-party payer relationships
• Collaborate with revenue cycle departments to establish best practice solutions to maximize reimbursement

Required Qualifications, Training, and Education

• High school graduate with four years of relevant experience in coding, billing, insurance follow-up, collections, or denial management
• Preferred Associate's degree or higher in a health or business-related field with three years of relevant experience
• Demonstrated knowledge of hospital billing, denials, appeals, and third-party contracts
• Familiarity with federal and state regulations governing the healthcare industry
• Proficient in Microsoft Office Products such as Outlook, Word, and Excel